Unit:
Κατεύθυνση Παιδιατρική ΠνευμονολογίαLibrary of the School of Health Sciences
Supervisors info:
Δούρος Κωνσταντίνος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Πρίφτης Κώστας, αφ. Αναπληρωτής Καθηγητής Παιδιατρικής-Παιδοπνευμονολογίας, Ιατρική Σχολή ΕΚΠΑ, Διευθυντής Παιδοπνευμονολογικού - Παιδοαλλεργιολογικού Τμήματος, Παιδιατρικό Κέντρο Αθηνών
Αντωνογεώργος Γεώργιος, Παιδίατρος, Βιοστατιστικός, Επιδημιολόγος
Original Title:
Χρήση ταλαντωσιμετρίας στη διάγνωση και παρακολούθηση άσθματος παιδικής ηλικίας
Translated title:
The role of impulse oscillometry in diagnosis and management of asthma in children
Summary:
Asthma is one of the leading causes of morbidity in the pediatric population. While most of characteristic structural changes in asthma have been identified in the large airways, there is a growing recognition of peripheral airway dysfunction as a crucial factor in the development of asthma. However, little is known about the contribution of small airway impairment in children with asthma due to the relatively low sensitivity of conventional lung function tests, such as spirometry, which is considered the gold standard for assessing airway obstruction. Impulse Oscillometry System (IOS) emerges as an alternative method, offering a non-invasive and comprehensive approach to evaluating respiratory function with minimal patient cooperation. This review explores the latest data on the application of impulse oscillometry in the diagnosis and management of asthma. It delves into the principles underlying IOS and examines the correlations between IOS and other established diagnostic methods, aiming to evaluate its clinical utility in cases where other methods are not feasible or provide unreliable results. In conclusion, impulse oscillometry is useful in children who are unable to perform maximal expiratory efforts due to age or physical limitations. It can play a significant role in the early diagnosis of asthma, detecting subtle changes in the mechanics of central and peripheral airways, while simultaneously contributes to monitoring control and predicting asthma exacerbations. The data obtained from IOS are complementary and not identical to those from spirometry, offering an alternative and reliable method for assessing respiratory function in children.
Main subject category:
Health Sciences
Keywords:
Asthma, Children, Small airways, Dysfunction, Impulse oscillometry
Number of references:
149
